| NPI | 1396271011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE TYRELL Owner 860-617-7719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK SLPS443) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |